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<title>保卫处-动火证申请表</title>
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<div class="rightmain">
        <div class="mainbox" style="width:800px;margin:10px auto;background:none;border:none;">
      		<div class="table_box" style="margin:10px auto;">
            <br/>
        	<h1 style="margin:0;">动火证办理申请表</h1>
            <br/>
            <table class="permit_tab3">
            <tbody>
            
            <tr>
            	<td width="365px" style="height:70px;border-bottom:none;">申请动火的校内单位名称:{$info.apply_name}<br/><br/></td>
                <td width="365px" style="height:70px;border-bottom:none;">单位负责:{$info.apply_incharge} <br/><br/></td>
            </tr>
          
            <tr>
            	<td width="365px" style="height:30px;border:none;text-align:right;"></td>
                <td width="365px" style="height:30px;border:none;text-align:right;border-left:1px solid black;">签字（盖章）: &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;</td>
            </tr>
            <tr>
            	<td width="365px" style="height:30px;border:none;text-align:right;"></td>
                <td width="365px" style="height:30px;border:none;text-align:right;border-left:1px solid black;"><span></span> 年<span></span>月 <span></span>日</td>
            </tr>
            
             <tr>
            	<td width="365px" style="height:70px;border-bottom:none;">负责动火施工单位名称:{$info.construct_name}<br/><br/></td>
                <td width="365px" style="height:70px;border-bottom:none;">施工单位负责人:{$info.construct_incharge} <br/><br/></td>
            </tr>
          
            <tr>
            	<td width="365px" style="height:30px;border:none;text-align:right;"></td>
                <td width="365px" style="height:30px;border:none;text-align:right;border-left:1px solid black;">签字（盖章）: &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;</td>
            </tr>
            <tr>
            	<td width="365px" style="height:30px;border:none;text-align:right;"></td>
                <td width="365px" style="height:30px;border:none;text-align:right;border-left:1px solid black;"><span></span> 年<span></span>月 <span></span>日</td>
            </tr>
            
            
            <tr>
            	<td style="border-bottom:none;height:38px;">特种作业操作证:(□有、□无)</td>
                <td style="border-bottom:none;">动火证操作人员:</td>
            </tr>
             <tr>
            	<td style="border:none;height:38px;">证号:</td>
                <td style="border:none;text-align:right;border-left:1px solid black;">签字:&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
            </tr>
             <tr>
            	<td style="border:none;height:38px;text-align:right;">有效期至<span></span> 年<span></span>月 <span></span>日</td>
                <td style="border:none;border-left:1px solid black;text-align:right;"></span> 年<span></span>月 <span></span>日</td>
            </tr>
           
            <tr>
            	<td colspan="2" style="text-align:left;height:100px;vertical-align:top;padding-top:5px;">动火作业的原因:</th>
            </tr>
             <tr>
            	<td colspan="2" style="text-align:left;height:100px;vertical-align:top;padding-top:5px;">动火部位及环境:</td>
                
            </tr>
             <tr>
            	<td colspan="2" style="text-align:left;height:40px;vertical-align:top;border-bottom:none;padding-top:5px;">动火作业种类:</td>
            <tr>
            	<td colspan="2" style="text-align:center;height:40px;border-top:none;">（□&nbsp;&nbsp;明火、□&nbsp;&nbsp;气焊、□&nbsp;&nbsp;电焊、□&nbsp;&nbsp;其他&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;）</td>
            </tr>
            <tr>
            	<td colspan="2"  style="text-align:left;border-bottom:none;height:40px;">动火作业起止时间:</td>    
            </tr>
            <tr>
            	<td colspan="2"  style="text-align:right;border-top:none;"><span></span> 年<span></span>月 <span></span>日   &nbsp;&nbsp;&nbsp; 至 <span></span> 年<span></span>月 <span></span>日</td>    
            </tr>
            <tr>
            	<td colspan="2"  style="text-align:left;height:150px;">动火采取的消防安全措施:</td>    
            </tr>
             <tr>
            	<td   style="text-align:left;height:35px;border:none;">动火证编号:</td>
                <td   style="text-align:left;height:35px;border:none;">防火科负责人签字:</td>        
            </tr>
            <tr>
            	<td   style="text-align:left;height:35px;border-top:none;border-right:none;"></td>
                <td   style="text-align:right;height:35px;border-top:none;border-left:none;"><span></span> 年<span></span>月 <span></span>日</td>        
            </tr>
            
            </tbody>
            </table>

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